NBME CBSE REAL EXAM QUESTIONS AND
ANSWERS LATEST MEDICAL EXAMINATION
67 yo has urinary urgency after placement of urinary catheter during transurethral
... [Show More] resection of prostate,
most appropriate therapy? - Answers inhibition of muscarinic receptors
Female pt w/ mt breast cancer, transferred to an hospice. Only family member are allowed to stay after
visiting hours. Most appropriate response by the physician? - Answers You seem very important to each
other, you can stay...
male with 3 month history of gynecomastia, is taking injections of beta hCG, what is the most likely
binding site and action of b-hCG causing development of gynecomastia? - Answers Testicle---Estradiol
production.
hCG has the same alpha unit as LH, FSH, TSH. Increase in hCG -> increase in LH -> more testosterone (via
Leydig cells) -> more estrogen (via aromatase in adipose tissue and testis) -> gynecomastia
reviously healthy 72 year old man with weakness and fatigue. His Hb 9.2 g/dL, leukocyte count is
5400/mm3, and platelet count is 350,000/mm3. A peripheral blood smear is shown (many small RBCs
with various shape andd big central palor, one WBC and its size is bigger than the RBC shown). Which of
the following is the most likely cause of these findings?? - Answers GI BLOOD LOSS---CLASSIC
presentation for right sided colon cancer.smear sounds classic for a microcytic anemia, so iron
deficiency from GI blood loss is definitely correct
63-year-old man comes to the physician because of a 6-month history of exertional chest pain that is
relieved by rest. He has smoked 1 pack of cigarettes daily for 45 years. He has mild hypertension, but he
takes no medications. Which of the following types of lesions in the left anterior descending coronary
artery is the most likely cause of his condition
100% vasospasm=one aneurysm, dec's from there
<50% stenosis=plaque--MI - Answers Calcified 80% stenosis...on exertion = stable angina.
occlusion of more than 70-75%
NBME CBSE REAL EXAM QUESTIONS AND
ANSWERS LATEST MEDICAL EXAMINATION
Variant/Printzmetal--@ rest and nighttime, 2* to Vasospasm, ST elev, Tobacco, cocaine, triptans/
younger pt
Unstable--Thrombosis with incomplete artery occlusion. any chest pain at rest, no exertion. st
depression or t-wave inversion
56 year old Woman comes to the physician for a follow up examination after recovering from
Pneumococcal Pneumonia, X-ray shows no abnormalities. What allowed for full resolution: - Answers
metaplasia of mesenchymal cells----type 2 pneumocytes proliferate in damage... shouldn't be fibroblasts
and shouldn't be BM integrity (think this references invasion of cells)
54 y/o female h/o htn and bilateral renal a stenosis, starts using nsaids for back pain. over next week her
s.creatinine increases from 1.0 to 5.0mg/dl. most likely cause is drugs ability to inhibit - Answers
vasodilating PGs at afferent arteriole
RCT study of 2000 patients with insomnia, conducted to evaluate the efficacy of new medicine to treat
the condition. subjects in treatment group are able to fall asleep on avg of 5 mins faster than subjects in
control group. difference is stat. significant p=0.001. subjects in neither group report improvement in
quality of life. investigators conclude new medication is efficacious for insomnia. which type of error -
Answers failure to distinguish btw statistical and clinical significanc
55 y/o man with sepsis gets confused and anxious. Treated with vanco/ceftriaxone. Temp 104, BP 84/50.
Warm flushed skin. Give what solution? - Answers 0.9% saline <--- boost the BP asap, so 0.9% normal
saline; 3% too hypertonic, don't need the sugar
3% saline (not this
10 year old boy has had anemia since birth. His spleen is five time times normal size. Splenectomy is
indicated if the anemia is caused by which of the following disorders? - Answers Glucose 6 phosphate
dehydrogenase deficiency----patients are able to live with spherocytes. its the extravascular hemolysis [Show Less]